Testimony issued by the Government Accountability Office with an abstract that begins "As GAO and others have reported, the use of information technology (IT) has enormous potential to help improve the quality of health care and is important for improving the performance of the U.S. health care system. Given its role in providing health care, the federal government has been urged to take a leadership role to improve the quality and effectiveness of health care, and it has been working to promote the nationwide use of health IT for a number of years. However, achieving widespread adoption and implementation of health IT has proven challenging, and the best way to accomplish this transition remains subject to much debate. At the committee's request, this testimony discusses important issues identified by GAO's work that have broad relevance to the successful implementation of health IT to improve the quality of health care. To develop this testimony, GAO relied largely on its previous work on federal health IT activities."

Correspondence issued by the Government Accountability Office with an abstract that begins "The Missouri River reservoir system is a critical national resource that provides a variety of benefits, including navigation, flood control, irrigation, hydropower, municipal and industrial water supply, recreation, and fish and wildlife habitat. The U.S. Army Corps of Engineers (Corps) is responsible for operating the Missouri River system to serve these congressionally authorized purposes. Between 1933 and 1964, the Corps built six dams on the Missouri River to serve the water resource needs within the Missouri River basin. The resulting reservoirs form a series of lakes from Montana to the South Dakota-Nebraska border. The Corps manages the system of dams and reservoirs according to the water control plan presented in its Missouri River Mainstem Reservoir System Master Water Control Manual, which was first published in 1960 and most recently revised in 2006. The master manual provides water control criteria for the reservoir system for a spectrum of anticipated runoff conditions. Annual operating plans based on these criteria provide detailed reservoir regulation for each operating year. Four states, Iowa, Nebraska, Kansas, and Missouri, are adjacent to the Missouri River and are served by barge and other vessel traffic along …

A letter report issued by the Government Accountability Office with an abstract that begins "The Food and Drug Administration (FDA) within the Department of Health and Human Services (HHS) is responsible for oversight of medical devices sold in the United States. Regulations place devices into three classes, with class III including those with the greatest risk to patients. Unless exempt by regulation, new devices must clear FDA premarket review via either the 510(k) premarket notification process, which determines if a new device is substantially equivalent to another legally marketed device, or the more stringent premarket approval (PMA) process, which requires the manufacturer to supply evidence providing reasonable assurance that the device is safe and effective. Class III devices must generally obtain an approved PMA, but until FDA issues regulations requiring submission of PMAs, certain types of class III devices may be cleared via the 510(k) process. The FDA Amendments Act of 2007 mandated that GAO study the 510(k) process. GAO examined which premarket review process--510(k) or PMA--FDA used to review selected types of device submissions in fiscal years 2003 through 2007. GAO reviewed FDA data and regulations, and interviewed FDA officials."

Other written product issued by the Government Accountability Office with an abstract that begins "This report presents the highlights of GAO's fiscal year 2008 Performance and Accountability Report. The Government Accountability Office, the audit, evaluation, and investigative arm of the Congress, exists to support the Congress in meeting its constitutional responsibilities and to help improve the performance and accountability of the federal government for the American people. GAO examines the use of public funds; evaluates federal programs and policies; and provides analyses, recommendations, and other assistance to help the Congress make informed oversight, policy, and funding decisions. To fulfill its mission, GAO organizes and manages its resources to support four broad strategic goals. These include helping to address challenges to the well being and economic security of the American people, U.S. national and homeland security efforts, and modernizing government to meet current and emerging issues. Strategic goal 4 is an internal goal that focuses on enhancing GAO's business and administrative processes through investments in human capital, financial management, information technology, and various processes and systems needed to support the agency and the Congress. GAO maintains a workforce of highly trained professionals across a breadth of academic and scientific disciplines. About …

To counter the effect of recessions on workers, Congress has passed legislation to spur job creation through increased spending on public works (infrastructure) and public service programs, revenue sharing with state governments, and employment tax credits. Although the economic stimulus measure enacted during the 110th Congress did not include these direct job creation approaches, additional spending on infrastructure in particular was considered before Congress recessed. (See CRS Report RL34349, Economic Slowdown: Issues and Policies, coordinated by Jane G. Gravelle et al.) Infrastructure spending continues to be mentioned in the context of a second stimulus package, as do state and local government revenue sharing and a jobs tax credit. The focus of this report is on the four countercyclical job creation approaches and related legislation enacted since the Great Depression's end.

Subsystems of the 2008 Lexus 600h hybrid electric vehicle (HEV) were studied and tested as part of an intensive benchmarking effort carried out to produce detailed information concerning the current state of nondomestic alternative vehicle technologies. Feedback provided by benchmarking efforts is particularly useful to partners of the Vehicle Technologies collaborative research program as it is essential in establishing reasonable yet challenging programmatic goals which facilitate development of competitive technologies. The competitive nature set forth by the Vehicle Technologies program not only promotes energy independence and economic stability, it also advocates the advancement of alternative vehicle technologies in an overall global perspective. These technologies greatly facilitate the potential to reduce dependency on depleting natural resources and mitigate harmful impacts of transportation upon the environment.

Voro++ is a free software library for the computation of three dimensional Voronoi cells. It is primarily designed for applications in physics and materials science, where the Voronoi tessellation can be a useful tool in the analysis of densely-packed particle systems, such as granular materials or glasses. The software comprises of several C++ classes that can be modified and incorporated into other programs. A command-line utility is also provided that can use most features of the code. Voro++ makes use of a direct cell-by-cell construction, which is particularly suited to handling special boundary conditions and walls. It employs algorithms which are tolerant for numerical precision errors, and it has been successfully employed on very large particle systems.

Prior to the dissolution of Pu-containing materials in HB-Line, highly enriched uranium (HEU) solutions stored in Tanks 11.1 and 12.2 of H-Canyon must be transferred to provide storage space. The proposed plan is to centrifuge the solutions to remove solids which may present downstream criticality concerns or cause operational problems with the 1st Cycle solvent extraction due to the formation of stable emulsions. An evaluation of the efficiency of the H-Canyon centrifuge concluded that a sufficient amount (> 90%) of the solids in the Tank 11.1 and 12.2 solutions will be removed to prevent any problems. We based this conclusion on the particle size distribution of the solids isolated from samples of the solutions and the calculation of particle settling times in the centrifuge. The particle size distributions were calculated from images generated by scanning electron microscopy (SEM). The mean particle diameters for the distributions were 1-3 {micro}m. A significant fraction (30-50%) of the particles had diameters which were < 1 {micro}m; however, the mass of these solids is insignificant (< 1% of the total solids mass) when compared to particles with larger diameters. It is also probable that the number of submicron particles was overestimated by the software used …

Since the initial measurements of the electron charge a century ago, experimenters have faced the persistent question as to whether elementary particles exist that have charges that are fractional multiples of the electron charge. I concisely review the results of the last 50 years of searching for fractional charge particles with no confirmed positive results. I discuss the question of whether more searching is worthwhile?

The objective of the proposed research is to define strategies for the improvement of alloys for structural components, such as the intermediate heat exchanger and primary-to-secondary piping, for service at 1000 degree C in the He environment of the NGNP. Specifically, we will investigate the oxidation/carburization behavior and microstructure stability and how these processes affect creep. While generating this data, the project will also develop a fundamental understanding of how impurities in the He environment affect these degradation processes and how this understanding can be used to develop more useful life prediction methodologies.

The purpose of this report is to provide a concise but comprehensive overview of Atmospheric Radiation Measurement Climate Research Facility instrumentation status. The report is divided into the following five sections: (1) new instrumentation in the process of being acquired and deployed, (2) field campaigns, (3) existing instrumentation and progress on improvements or upgrades, (4) proposed future instrumentation, and (5) Small Business Innovation Research instrument development.

The U.S. Department of Energy's Office of Environmental Management (DOE-EM) was established to achieve the safe and compliant disposition of legacy wastes and facilities from defense nuclear applications. A large majority of these wastes and facilities are 'one-of-a-kind' and unique to DOE. Many of the programs to treat these wastes have been 'first-of-a-kind' and unprecedented in scope and complexity. This has meant that many of the technologies needed to successfully disposition these wastes were not yet developed or required significant re-engineering to be adapted for DOE-EM's needs. The DOE-EM program believes strongly in reducing the technical risk of its projects and has initiated several efforts to reduce those risks: (1) Technology Readiness Assessments to reduce the risks of deployment of new technologies; (2) External Technical Reviews as one of several steps to ensure the timely resolution of engineering and technology issues; and (3) Technical Risk Ratings as a means to monitor and communicate information about technical risks. This paper will present examples of how Technology Readiness Assessments, External Technical Reviews, and Technical Risk Ratings are being used by DOE-EM to reduce technical risks.

This report documents the deactivation, decontamination, decommissioning, and demolition (D4) of eighteen buildings in the 300 Area of the Hanford Site that were demolished in Fiscal Year 2008. The D4 of these facilties included characterization, engineering, removal of hazardous and radiologically contaminated materials, equipment removal, utility disconnection, deactivation, decontamination, demolition of the structure, and stabilization or removal of the remaining slab and foundation, as appropriate.

SLAC's COHE program requires compliance with OSHA Regulation 29CFR1910.147, 'The control of hazardous energy (lockout/tagout)'. This regulation specifies lockout/tagout requirements during service and maintenance of equipment in which the unexpected energization or start up of the equipment, or release of stored energy, could cause injury to workers. Class 3B and Class 4 laser radiation must be considered as hazardous energy (as well as electrical energy in associated equipment, and other non-beam energy hazards) in laser facilities, and therefore requires careful COHE consideration. This paper describes how COHE is achieved at SLAC to protect workers against unexpected Class 3B or Class 4 laser radiation, independent of whether the mode of operation is normal, service, or maintenance.

The LCLS at the SLAC National Accelerator Laboratory will be the world's first source of an intense hard x-ray laser beam, generating x-rays with wavelengths of 1nm and pulse durations less than 100fs. The ultrafast x-ray pulses will be used in pump-probe experiments to take stop-motion pictures of atoms and molecules in motion, with pulses powerful enough to take diffraction images of single molecules, enabling scientists to elucidate fundamental processes of chemistry and biology. Ultrafast conventional lasers will be used as the pump. In 2009, LCLS will deliver beam to the Atomic Molecular and Optical (AMO) Experiment, located in one of 3 x-ray Hutches in the Near Experimental Hall (NEH). The NEH includes a centralized Laser Hall, containing up to three Class 4 laser systems, three x-ray Hutches for experiments and vacuum transport tubes for delivering laser beams to the Hutches. The main components of the NEH laser systems are a Ti:sapphire oscillator, a regen amplifier, green pump lasers for the oscillator and regen, a pulse compressor and a harmonics conversion unit. Laser safety considerations and controls for the ultrafast laser beams, multiple laser controlled areas, and user facility issues are discussed.

We report a detailed comparison of a slow gravity driven sheared granular flow with a computational model performed with the Large-scale Atomic/Molecular Massively Parallel Simulator (LAMMPS). To our knowledge, this is the first thorough test of the LAMMPS model with a laboratory granular flow. In the experiments, grains flow inside a silo with a rectangular cross-section, and are sheared by a rough boundary on one side and smooth boundaries on the other sides. Individual grain position and motion are measured using a particle index matching imaging technique where a fluorescent dye is added to the interstitial liquid which has the same refractive index as the glass beads. The boundary imposes a packing order, and the grains are observed to flow in layers which get progressively more disordered with distance from the walls. The computations use a Cundall--Strack contact model between the grains, using contact parameters that have been used in many other previous studies, and ignore the hydrodynamic effects of the interstitial liquid. Computations are performed to understand the effect of particle coefficient of friction, elasticity, contact model, and polydispersity on mean flow properties. After appropriate scaling, we find that the mean velocity of the grains and the number density …

This report summarizes the results of the Double-Shell Tank Thermal and Operating Loads Analysis (TaLA) combined with the Seismic Analysis. This combined analysis provides a thorough, defensible, and documented analysis that will become a part of the overall analysis of record for the Hanford double-shell tanks (DSTs). The bases of the analytical work presented herein are two ANSYS{reg_sign} finite element models that were developed to represent a bounding-case tank. The TaLA model includes the effects of temperature on material properties, creep, concrete cracking, and various waste and annulus pressure-loading conditions. The seismic model considers the interaction of the tanks with the surrounding soil including a range of soil properties, and the effects of the waste contents during a seismic event. The structural evaluations completed with the representative tank models do not reveal any structural deficiencies with the integrity of the DSTs. The analyses represent 60 years of use, which extends well beyond the current date. In addition, the temperature loads imposed on the model are significantly more severe than any service to date or proposed for the future. Bounding material properties were also selected to provide the most severe combinations. While the focus of the analyses was a bounding-case tank, …

The mechanical properties of cohesionless granular materials are evaluated from grain-scale simulations. A three-dimensional pack of spherical grains is loaded by incremental displacements of its boundaries. The deformation is described as a sequence of equilibrium configurations. Each configuration is characterized by a minimum of the total potential energy. This minimum is computed using a modification of the conjugate gradient algorithm. Our simulations capture the nonlinear, path-dependent behavior of granular materials observed in experiments. Micromechanical analysis provides valuable insight into phenomena such as hysteresis, strain hardening and stress-induced anisotropy. Estimates of the effective bulk modulus, obtained with no adjustment of material parameters, are in agreement with published experimental data. The model is applied to evaluate the effects of hydrate dissociation in marine sediments. Weakening of the sediment is quantified as a reduction in the effective elastic moduli.

This report documents the deactivation, decontamination, decommissioning, and demolition (D4) of twenty buildings in the 300 Area of the Hanford Site. The D4 of these facilties included characterization, engineering, removal of hazardous and radiologically contaminated materials, equipment removal, utility disconnection, deactivation, decontamination, demolition of the structure, and stabilization or removal of the remaining slab and foundation, as appropriate.

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This report briefly discusses the USDA's FY2006 appropriation, which postpones rules requiring many retailers to provide country-of-origin labeling (COOL) for fresh produce, red meats, and peanuts until September 30, 2008. The report also discusses related legislation.

This report examines three labor issues and arguments related to the pending U.S.-Colombia free trade agreement (CFTA, H.R. 5724): violence against trade unionists; impunity (accountability for or punishment of the perpetrators); and worker rights protections for Colombians.

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SRNL was requested by WSRC Waste Solidification Engineering to characterize the release of ammonia from saltstone curing at 95 C by performing experimental testing. These tests were performed with an MCU-type Tank 50H salt simulant containing 0, 50, and 200 mg/L ammonia. The testing program showed that above saltstone made from the 200 mg/L ammonia simulant, the vapor space ammonia concentration was about 2.7 mg/L vapor at 95 C. An upper 95% confidence value for this concentration was found to be 3.9 mg/L. Testing also showed that ammonia was chemically generated from curing saltstone at 95 C; the amount of ammonia generated was estimated to be equivalent to 121 mg/L additional ammonia in the salt solution feed. Even with chemical generation, the ammonia release from saltstone was found to be lower than its release from salt solution only with 200 mg/L ammonia.